Mailed Audit and Feedback for Antibiotic Prescribing in Primary Care

What is the economic value of an antibiotic audit and feedback program targeting primary care physicians?In this economic evaluation using data from a randomized clinical trial of 4879 physicians in Ontario, Canada, every dollar invested in the mailed antibiotic audit and feedback program generated an estimated return of $8.82 in Canadian dollars.These findings suggest that a low-cost, scalable audit and feedback intervention can deliver substantial economic and clinical value, supporting its adoption as a high-value antimicrobial stewardship strategy in primary care.

Corresponding Author: Kednapa Thavorn, PhD, Ottawa Hospital Research Institute, 501 Smyth Rd, PO Box 201B, Ottawa, ON K1H 8L6, Canada (kthavorn@ohri.ca).

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